COPD
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age >40 years at recruitment - COPD patients with an FEV1/FVC 0.8 L and ability to produce sputum after hypertonic saline production - A smoking history of >10 pack years
Exclusion criteria
Exclusion criteria: - Acute pneumonia as determined by X-ray - > 48 h intake of prednisolon/antibiotics - Need for mechanical ventilation (either invasive or non-invasive) - Treatment with immune-modulating agents for any disease - Experimental interventions for COPD last half year - Former/concomitant diagnosis of asthma - Any significant other pulmonary disease or disorder - Existing pregnancy/ current willingness for becoming pregnant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoints of induced sputum samples: The main parameters of induced sputum samples will be mRNA level expression of IL-6, IL-8, TNF-alpha, MCP-1, MIP-1 beta and TGF-beta. Primary endpoints of nose mucosa samples: The main parameters of nose mucosa samples will be mRNA and miRNA level expression of IL-6, IL-8, IL-17, TNF-alpha, MCP-1, MIP-1 beta and TGF-beta. Therefore, three consecutive sputum inductions and nasal brush extractions will take place in a 7 week period. The obtained data from Visit 1 and 2 will used to analyze the responsivity of these inflammatory markers during a marked change in inflammatory state. The obtained data from Visit 2 and 3 will be used for the analysis of reproducibility of these inflammatory markers. | — |
Secondary
| Measure | Time frame |
|---|---|
| The following parameters will be investigated for our secondary objectives in induced sputum of COPD patients: - Inflammation cell profiles - LTB4 levels - protein levels of IL-6, IL-8, TNF-alpha, MCP-1, MIP-1 beta, ECP and TGF-beta | — |
Countries
Netherlands